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Cold vs Flu Symptoms: Understand the Difference

Is it the cold or flu

If you’ve been feeling crummy, with a cough and chest discomfort, you might be dealing with a seasonal ailment like the flu or a cold. While these two nasty infections can seem pretty similar, they are actually distinct illnesses, with different causes and different solutions. If you or a loved one is under the weather, it might be helpful to identify which respiratory issue you’re dealing with. That way, you can attend to the symptoms directly, recover, and move on with your life. As always talk to your doctor if you have specific questions or concerns about your symptoms.

What is a cold?

The common cold is an infection of the nose, sinuses, throat, and windpipe. A cold is caused by a underlying virus, though the specific virus will vary, as over 200 different viruses are known to cause colds.[1]

Colds are contagious upper respiratory infections that can spread easily, especially within a household, and typically last between 7 and 10 days. Symptoms develop gradually over the course of two or three days, meaning you might not realize you are getting sick at first. While uncomfortable, most colds resolve on their own.[2]

What are the symptoms of the common cold?[2,3]

Common symptoms include:

  • Cough

  • Stuffy, runny nose

  • Scratchy or sore throat

  • Sneezing

  • Chest congestion

Other frequent symptoms of a cold include:

  • Headache

  • Low-grade fever

  • Body or muscle aches

  • Fatigue

What is the flu?

Flu is a contagious respiratory illness caused by influenza viruses. The flu can come on quite quickly, within two to three days after coming into contact with a contagious person, and symptoms typically subside within a few days to two weeks. Most people with the flu will get better on their own with proper rest, though occasionally flu can lead to more severe complications.[4]

You are most likely to contract the flu during annual “flu season” which, in the northern hemisphere, runs roughly from October to May. And while flu is highly contagious, you can decrease your chances of getting the flu (or prevent more severe symptoms) but getting a flu vaccine once a year.[4] Learn more if TYLENOL® is right for you after a vaccination.

What are the symptoms of Influenza?[4,5]

Symptoms of flu come on pretty quickly, usually within 2-3 days of coming into contact with a person who carries the virus. Fever and chills are typically the first signs. The most common influenza symptoms include:

  • Headache

  • Fever

  • Chills

  • Cough

  • Body or muscle aches

  • Fatigue

  • Chest congestion

Less frequent symptoms of the flu include:

  • Runny or stuffy nose

  • Sore throat

  • Diarrhea or vomiting

  • Sneezing

Similarities between the common cold and the flu

Both colds and flu are considered upper respiratory infections of the nose, sinuses, and throat. Symptoms can be similar, so keep an eye on what’s bothering you most. Still, the two illnesses can present in such similar ways that it may be hard to differentiate without a special test.[3]

Some of the most common symptoms that can present in either flu or cold include aches, fatigue, sneezing, runny or stuffy nose, chest discomfort or cough, and sore throat. Both illnesses are contagious through contact with a person carrying the virus.[3]

Difference between the common cold and the flu

One major difference is the onset of symptoms; while colds can come on gradually over the course of days, flu usually comes on abruptly.

Additionally, consider the difference between flu vs cold symptoms. You’re more likely to develop fever and body chills with flu than you are with a common cold.[2,3]

When it comes down to influenza vs cold, symptoms of cold are usually milder than symptoms of flu, though cases vary. Moreover, colds do not generally result in serious health problems. Flu, on the other hand, can lead to severe illness for people with underlying health conditions like asthma, a history of heart disease and diabetes.[6] Examine the comparison chart below for a deeper look at the common cold vs flu.

Cold vs Flu Symptom Comparison Chart

Symptom/Description

Cold

Flu

Symptom Length

Typically 7-10 days but can range within 2-14 days

2-7 days but cough and fatigue may linger for 2-3 weeks

Onset of symptoms

Build over 48 hours

Fast onset of symptoms

Headache

Sometimes

Common

Fever/Chills

Sometimes, fever can be low-grade

Common, fever can be high

Cough

Common

Common

Runny/Stuffy Nose

Common

Sometimes

Sore Throat

Common

Sometimes

Body/Muscle Aches

Sometimes

Common

Fatigue/Exhaustion

Sometimes

Common

Nausea/Vomiting/Diarrhea

No

Sometimes

Sneezing

Common

Sometimes

Chest Congestion

Common

Common

The above chart is a general outline of flu vs cold symptoms and indications, though each case varies, as both cold and flu are caused by a wide variety of viruses.

How to treat the flu or a common cold

The good news is most cases of both flu and common cold resolve on their own over the course of two weeks. Basic steps you can take to ensure a quick recovery include plenty of rest, and staying hydrated by drinking lots of fluids like water, tea, or electrolyte beverages.[3,4]

If you are concerned that symptoms are not improving, speak with a doctor, who can guide you towards treatment options right for you. In most cases, treatment involves addressing symptoms, and making yourself more comfortable as your immune system gets to work.[3,4]

What can you do to relieve the peskiest of flu or cold symptoms? Consider the following steps:

Bye, bye dry

Bye, bye dry

Use a humidifier to keep the air moist and ease throat and nose discomfort.

A soothing sip

A soothing sip

Warm liquids like tea and chicken soup can help a sore, scratchy throat, and also keep you hydrated.

Keep it clean

Keep it clean

If you present cold and flu symptoms, remember to wash your hands to avoid spreading infection. You should also consider separating yourself from others during the worst of your illness and wearing a mask in public to decrease potential spread.

Dose up

Take medicine to relieve symptoms

Many over-the-counter medicines can help relieve symptoms. Acetaminophen, which most TYLENOL® products include, can help reduce your fever and relieve headache. If you have additional symptoms, you can use TYLENOL® Cold and Flu products.

When to talk to the doctor

Most cases of both cold and flu will go away on their own, without the need to see a doctor. However, if you have an underlying condition that could lead to more severe complications, you should reach out to a doctor at the earliest signs.

If you are displaying emergency symptoms of flu, get medical care immediately. Emergency symptoms include:

  • Trouble breathing or shortness of breath

  • Chest pain or pressure

  • Ongoing dizziness

  • Hard to wake up or confusion

  • Dehydration

  • Seizures

  • Worsening of existing medical conditions

  • Severe weakness or muscle pain

In severe cases, your doctor may prescribe an antiviral medication that can shorten the length of illness and reduce your risk of severe complications.[5]

FAQs

Most of the time, cold symptoms last between 7 and 10 days, and are usually fully gone by two weeks. How long cold symptoms last will vary by case, but with proper at-home care, the cold virus will typically not last longer than 14 days. Signs that your cold is getting better will usually be evident before that time.[2]

More than 200 different viruses can cause the common cold, though rhinoviruses are thought to cause up to half of all colds.[1]

Yes, the common cold is highly contagious.

Colds spread easily from person to person, and in order for you to become infected, the virus must get to one of your mucous membranes (the moist lining of your nostril, eyes or mouth). That means that if you touch a surface or breathe moist air that contains the cold virus, you are vulnerable to becoming infected with a cold.[1]

When it comes down to flu vs cold symptoms, it really depends on the case. In general the flu tends to feel more intense, as it comes on more abruptly. But common colds also vary, so the severity will depend on the specific virus causing your ailment.

Since they can be similar, it might not be necessary to even differentiate flu versus common cold symptoms. However, if you have underlying health conditions, you ought to clarify with a medical professional whether you have common cold or flu, as flu is more likely to escalate in severity.

No, antibiotics will not treat your cold or flu, and in fact, could put your health at higher risk. That’s because antibiotics target bacterial infections, which are different from viruses. Since the common cold and the flu are caused viruses, antibiotic medications will have no effect on your recovery.

Overuse of antibiotics, or use when no bacterial infection is present, can have detrimental effects as it may lead to antibiotic resistance. That means that antibiotic medications will not work as well in the future. That is why it’s important to only use antibiotics as instructed by a medical professional, and to not use them in cases where no bacterial infection is present.[7]

References

  1. Common Cold, Cleveland Clinic, Accessed March 24, 2025, https://my.clevelandclinic.org/health/diseases/12342-common-cold
  2. Common Cold, Johns Hopkins Medicine, Accessed March 24, 2025, https://www.hopkinsmedicine.org/health/conditions-and-diseases/common-cold
  3. Cold Versus Flu, CDC, Accessed March 24, 2025, https://www.cdc.gov/flu/about/coldflu.html
  4. Flu (Influenza), Cleveland Clinic, Accessed March 24, 2025, https://my.clevelandclinic.org/health/diseases/4335-influenza-flu
  5. Influenza (Flu), Mayo Clinic, Accessed March 24, 2025, https://www.mayoclinic.org/diseases-conditions/flu/symptoms-causes/syc-20351719
  6. Influenza (Flu), CDC, Accessed March 24, 2025, https://www.cdc.gov/flu/signs-symptoms/index.html
  7. Antibiotics: Are you misusing them? Mayo Clinic, Accessed March 24, 2025, https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/antibiotics/art-20045720

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Cold + Flu

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